Characteristics of new HIV diagnoses over 1995-2019: A clinic-based study in Montréal, Canada

Characterization of populations at risk of acquiring HIV is required to inform the public health response to HIV. To identify potential changing needs in HIV prevention and care cascade, we aim to describe how the demographic profiles and exposure categories of newly diagnosed HIV positive individua...

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Bibliographic Details
Published in:PloS one 2021-10, Vol.16 (10), p.e0258383
Main Authors: Giguère, Katia, Vaziri, Maliheh, Olivier, Clément, Charest, Louise, Szabo, Jason, Thomas, Réjean, Maheu-Giroux, Mathieu
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Antiretroviral agents
Antiretroviral therapy
Biology and Life Sciences
Canada - epidemiology
CD4 antigen
CD4 Lymphocyte Count
COVID-19
Diagnosis
Disease prevention
Drug therapy
Drug use
Epidemiology
Evaluation
Exposure
Female
Gays & lesbians
Gender
Health risks
HIV
HIV infection
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV testing
Homosexuality, Male
Human immunodeficiency virus
Humans
Immune system
Infections
Injection
Male
Medical diagnosis
Medical records
Medical tests
Medicine and health sciences
Men
Mens health
Middle Aged
People and places
Prevention
Public health
Sexual Behavior
Sexual health
Sexual orientation
Sexually transmitted diseases
Social Sciences
STD
Substance Abuse, Intravenous - complications
Substance Abuse, Intravenous - epidemiology
Trends
Women
Young Adult
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Summary:Characterization of populations at risk of acquiring HIV is required to inform the public health response to HIV. To identify potential changing needs in HIV prevention and care cascade, we aim to describe how the demographic profiles and exposure categories of newly diagnosed HIV positive individuals attending a large sexual health clinic in Montréal (Canada) evolved since the beginning of the antiretroviral therapy era in the mid-1990s. Using diagnosis data from participants of the Clinique médicale l'Actuel cohort of HIV-positive patients, we examined the distribution of exposure categories (sexual orientation, sexual behaviours, injection drug use, being born in an HIV-endemic country) by gender and year of diagnosis. Time trends in mean age and in the proportion of patients with late (CD4
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0258383